FHIR Software Engineer IV
Availity · Remote
📍 Remote - United Statesvia workdayFirst listed here 2026-11-04
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Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.
At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.
We're on a mission to bring the focus back to what truly matters – patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding.
Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.
Reporting to the Manager, Software Engineering the Software Engineer IV will build network messaging software for Availity’s Auth FHIR teams. This team’s work is mostly back-end, using .NET and Azure, and occasional front-end projects using Vue.js.
Sponsorship, in any form, is not available for this position.
Location: Remote, US
What makes this team special:
Modern Engineering Experience The product ecosystem where our engineers contribute is designed with Azure in mind. There is a lot of freedom to be creative, explore new ideas, experiment, and contribute to cutting-edge solutions using the latest tools and software.
Experience and Expertise This high-performing team has an array of diverse experiences. You will learn a lot from us, and we also want to learn from you.
Engineering Focus Our culture and roots are centered around engineers. Most of your leadership chain are former Software Engineers who love to engage in technical conversations while also giving you and your team a significant amount of autonomy.
Positive Work Culture The team promotes a positive and inclusive work culture, prioritizing work-life balance, employee well-being, and fostering a sense of community and belonging.
Growth Opportunities Working on this team provides numerous opportunities for professional and personal growth through challenging projects, mentorship, and continuous learning.
Role qualifications (must-have):
Bachelor’s degree in computer science or related field or equivalent experience
5+ years of experience developing C# .NET software
Experience in a leadership capacity on a self-organizing team with other Software Engineers
Experience managing expectations with stakeholders to deliver timely solutions that satisfy customers
Experience building and consuming RESTful APIs
Strong understanding of SOLID OO design principles
Understanding of database design principles and SQL
Experience implementing unit and integration tests, and knowledge about what makes software testable
High comfort level with distributed source control tools like GIT
Willingness to take on complex projects with many unknowns
Adherence to engineering best practices
Awareness of what causes technical debt and how to keep it in check
Maintenance of composure and professionalism during high-pressure situations
Initiative and ownership of the work that needs to be done
Ability to manage multiple and changing priorities/tasks
Bonus qualifications (nice-to-have):
Experience in Healthcare information technology, particularly with FHIR and/or X12 messaging
Experience configuring and deploying software to Azure
Experience using Azure DevOps to create pipelines for builds and deployments
Experience in the capacity of a tech lead, team lead, manager, and/or mentor.
What you will be doing:
Designing and building DaVinci Prior Auth networking solutions in the healthcare space.
Developing mostly C# .NET software, with other languages where appropriate.
Building web services for both internal and external use.
Mapping message structures, mostly utilizing DaVinci FHIR.
Reading and understanding specifications for healthcare messaging standards.
Writing unit tests to maintain high coverage percentages.
Collaborating within your team and across teams.
Reviewing pull requests from others on your team and providing feedback in a constructive manner.
Configuring and deploying software to Azure.
Troubleshooting issues in production.
Keeping our code to a very high standard.
Learning and developing yourself.
Mentoring junior Software Engineers.
Innovating and sharing ideas to improve products and processes, big and small.
Improving and shortening the prior authorization process for patients across the US.
Availity culture and benefits:
Availity is a certified “Great Place to Work”, a “Best Workplaces for Technology Companies”, a “Best Workplaces for Women” and a “Best Workplaces for Millennials”!
Culture is important to us and there are many ways for you to make your mark here!
We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates. “AvaiLadies”, “Beyond Black”, “HOLA”, “Availity Pride”, “VetAvaility” a Young Professionals Group and “She Can Code IT” a group for women in tech are some of the groups you can get involved in.
Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!
We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one!
We offer unli
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